Kathryn Bogel

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

26660 Issued in MD

Practice address

818 High St Ste 1
Chestertown, MD 21620-1152

Phone

(410) 778-6565

NPI assigned

Dec 26, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chestertown Physical Therapy Services, Inc.

  • Physical Therapist
  • Chestertown, MD
  • NPI 1689642696
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1902312192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 HIGH ST STE 1",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 HIGH ST STE 1",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201152",
            "telephone_number": "410-778-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGEL",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "26660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4052099P0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce M. Blackburn, M.P.T., C.W.S.
• Joanna M. Blackburn, M.P.T., C.L.T.,DSCPT
• Sean Blackwell, AA, PTA LICENSE
• Morgan Bleinberger, CRNP
• Megan Marie Blyman, PTA
• Carly Boughner
• Sarah E. Boulden, P.T.A.
• Janet Slater Brandon, PHD
• Shane Brill
• Agnes D Browne, CRNP

• Physical Medicine & Rehabilitation Physician in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.